Abstract
Levonorgestrel-releasing intrauterine device is widely used in the treatment of adenomyosis and heavy menstrual bleeding. For patients with large uterine cavity or abnormal uterine cavity, they might encounter the problem of downward displacement and expulsion of the device during treatment. Herein, this study reported an easy minimally invasive method using GyneFix intrauterine device system to fix levonorgestrel-releasing intrauterine device into the uterine fundal muscle layer. The two ends of the intrauterine devices were firstly bundled together tightly. The suction sheath was inserted into the uterine cavity until reaching the fundus. Then, the bundled intrauterine devices were inserted into the sheath and fixed the GyneFix knot at the uterine fundus following the GyneFix IUD installation method. In this way, the LNG-IUD could be fixed well in the uterine cavity. This outpatient procedure does not require any special preparation or training.
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References
Park DS, Kim ML, Song T et al (2015) Clinical experiences of the levonorgestrel-releasing intrauterine system in patients with large symptomatic adenomyosis. Taiwan J Obstet Gynecol 54(4):412–415
Lockhat FB, Emembolu JO, Konje JC (2004) The evaluation of the effectiveness of an intrauterine-administered progestogen (levonorgestrel) in the symptomatic treatment of endometriosis and in the staging of the disease. Hum Reprod 19(1):179–184
Youm J, Lee HJ, Kim SK et al (2014) Factors affecting the spontaneous expulsion of the levonorgestrel-releasing intrauterine system. Int J Gynaecol Obstet 126(2):165–169
Huang JC, Jiang SZ, Zhang WJ et al (2022) Two paths of suture fixation for levonorgestrel-releasing intrauterine devices under hysteroscopy. Indian J Surg 85(4):944–945
Zhu LL, Yang XY, Cao BB et al (2021) The suture fixation of levonorgestrel-releasing intrauterine device using the hysteroscopic cold-knife surgery system: an original method in treatment of adenomyosis. Fertil Steril 116(4):1191–1193
Acknowledgements
The research leading to these results received funding from the Technology Plan Project of Administration of Traditional Chinese Medicine, Jiangxi, China, under Grant Agreement No. SZYYB20232648, and from the Bureau of Science and Technology, Ganzhou, China (208079799014).
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This study was approved by the Institutional Review Board of the First Affiliated Hospital of Gannan Medical University. Informed consent was obtained from the patients.
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Zhou, J., Han, W., **e, X. et al. Simple and Novel Technique of Fixation for Levonorgestrel-Releasing Intrauterine Device for the Treatment of Uterine Adenomyosis. Indian J Surg (2024). https://doi.org/10.1007/s12262-024-04072-3
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DOI: https://doi.org/10.1007/s12262-024-04072-3